Active NPI
Agnes Sobieraj, DC
- Chiropractor
- New City, NY
National Provider Identifier
1598730400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0030201
- Practice address
- 14 Tor Terrace
New City, NY 10956-2217 - Phone
- (845) 634-0504
- Fax
- (845) 634-0504
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0030201 | NY | Primary |
| Chiropractor | 111N00000X | X30201 | NY |
Addresses
Primary practice location
14 Tor Terrace
New City, NY 10956-2217
Mailing address
14 Tor Terrace
New City, NY 10956-2217
Phone (845) 634-0504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0030201 | NY | MD | Chiropractor |
| X30201 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1598730400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 TOR TERRACE",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562217",
"telephone_number": "845-634-0504",
"fax_number": "845-634-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 TOR TERRACE",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562217",
"telephone_number": "845-634-0504",
"fax_number": "845-634-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBIERAJ",
"first_name": "AGNES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0030201",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X30201",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.